| NPI | 1659466209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN BERRY Clinical Director 414-581-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-05-01 |